Kelly Sullivan, MSW, LCSW - Clinical Social Worker in Milwaukie, OR

Kelly Sullivan, MSW, LCSW is a Social Worker - Clinical based in Milwaukie, Oregon. Kelly Sullivan is licensed to practice in Oregon (license number L4631) and her current practice location is 10883 Se Main St, Ste. 204, Milwaukie, Oregon. She can be reached at her office (for appointments etc.) via phone at (503) 381-2422.

NPI number for Kelly Sullivan is 1457645434 and her current mailing address is Po Box 220203, Portland, Oregon. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1457645434.

Contact Information

Kelly Sullivan, MSW, LCSW
10883 Se Main St, Ste. 204,
Milwaukie, OR 97222-7641
(503) 381-2422
Not Available



Healthcare Provider's Profile

Full NameKelly Sullivan
GenderFemale
SpecialitySocial Worker - Clinical
Location10883 Se Main St, Milwaukie, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1457645434
  • Provider Enumeration Date: 06/07/2011
  • Last Update Date: 01/30/2017

Medical Identifiers

Medical identifiers for Kelly Sullivan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1457645434NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1041C0700XSocial Worker - Clinical L4631 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Sullivan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Sullivan, MSW, LCSW
Po Box 220203,
Portland, OR 97269-0203

Ph: (503) 381-2422
Kelly Sullivan, MSW, LCSW
10883 Se Main St, Ste. 204,
Milwaukie, OR 97222-7641

Ph: (503) 381-2422

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› Verified 1 days ago


Social Worker in Milwaukie, OR

Suzanne Lapidus,
Clinical Social Worker
Medicare: Accepting Medicare Assignments
Practice Location: 6605 Se Lake Rd, Milwaukie, OR 97222
Phone: 503-655-8401    Fax: 503-655-8429
Peter Shapoval,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 4545 Se Ina Ave Apt 9, Milwaukie, OR 97267
Phone: 503-654-5678    Fax: 503-654-1236
Rachel Diane Keast, CSWA
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 2403 Se Monroe St Ste A, Milwaukie, OR 97222
Phone: 515-209-9386    
Yvonne Marie Smith, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 12530 Se Shell Ln, Milwaukie, OR 97222
Phone: 503-957-4249    
Mr. Justin David Galasso,
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 10202 Se 32nd Ave, Milwaukie, OR 97222
Phone: 503-496-1190    
Mr. Craig Andrew Nielsen, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 17070 Se Mcloughlin Blvd, Milwaukie, OR 97267
Phone: 503-303-4000    
Mary Cosentino-cathey, LCSW
Clinical Social Worker
Medicare: Not Enrolled in Medicare
Practice Location: 11376 Se Linwood Ave, Milwaukie, OR 97222
Phone: 971-533-0497    

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